- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The claims resolution representative II is responsible for working ... and taking timely and routine action to resolve unpaid claims . The Claims Resolution Representative ..., identifies problems, and takes appropriate action to assure claim resolution. 20% + Responds to all billing-related inquiries… more
- The Institute for Family Health (New Paltz, NY)
- …clerical support to senior representatives such as mailing paper claims , preparing spreadsheets for appeals, or maintaining data spreadsheets as directed by ... and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing...be responsible for Claim Printing/Reviewing of printed claim forms for accuracy to ensure claims … more
- Cardinal Health (Albany, NY)
- …cycle, from prior authorization through billing and collections. The Billing Representative is responsible for verifying, distributing, and managing all billable ... works directly with insurance companies, healthcare providers, and patients to ensure claims are processed and paid accurately and efficiently. The position requires… more
- Spectrum Health and Human Services (Orchard Park, NY)
- …a bi-weekly basis generating claim batches. Basic level and low volume of claims . + Accurately edits claims for successful submission and payment + Submits ... and verifies 277 acceptance of file uploads + Reviews all pended and denied claims for resubmission or insurance representative follow-up. Basic level and low… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals. The Customer Service ... + Handle inbound calls from members, medical providers, and others. + Adjust claims accurately, if needed. + Listen to and address customer needs and concerns… more
- CVS Health (Albany, NY)
- … to members as well as navigating them through the health system, providing support on claims issues, and answering coverage-level questions. **We have two of ... any benefits related issues including answering routine questions, addressing denied claims , preauthorization, and providing support to both the employees… more
- CDM Smith (Albany, NY)
- …strategies. Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the ... CDM Constructors' Pacific region, primarily projects in California. The role will support negotiation, setup, and implementation of all contracts necessary for a… more
- Compass Group, North America (Buffalo, NY)
- …Compass One Company that provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry. Crothall serves many ... The Unit Safety Manager will be responsible for reducing claims and lost time injuries by providing safety and...lost time injuries by providing safety and workers compensation support to the local units. The support … more
- Transdev (Hillburn, NY)
- …will spend a significant amount of time working in an office environment in support of the Safety Team and will be performing administrative and office duties of ... Provide regular reports to local management staff of safety department efforts, claims status, training efforts, accident history, Workers' Compensation claims … more
- New York State Civil Service (White Plains, NY)
- …include, but are not limited to: Administrative Specialist 1, Investigator 2 (Compensation Claims ), Policyholder Services Representative 1, Claims Service ... Representative 1, Claims Services Representative 1 (Disability Benefits).* A bachelor's or higher degree AND two years of professional insurance industry… more
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